Navigation Links
Early Psychosis Is Dangerous

There is a far greater risk of lethal assault during the first episode of psychotic illness compared to later episodes, warn mental health experts.//

In the latest Medical Journal of Australia (MJA), Dr Olav Nielssen, psychiatrist at St Vincent’s Hospital in Sydney, and his co-authors review homicides committed during psychotic illness in NSW between 1993 and 2002.

Of the 88 subjects, 54 (61 per cent) were in their first episode of psychotic illness and had not received effective treatment.

“People in their first episodes of mental illness should be considered to be at greater risk of committing serious violence than those in subsequent episodes,” says Dr Nielssen.

“The first episode of psychotic illness should be treated as a psychiatric emergency, with a lower threshold for initiating involuntary treatment.

The main reasons for lethal assault were frightening delusional beliefs in which the patient believed they were in immediate danger.

In a related MJA editorial, Dr Megan Kalucy, Psychiatrist and Masters student of Public Health at the University of Western Australia, and her colleague, Professor Ross Kalucy, Director of Emergency Mental Health at the Flinders Medical Centre in Adelaide, say assertive intervention in such cases may be easier said than done.

Dr Kalucy says it is obviously unrealistic to expect mental health services to predict and prevent all homicides in the context of psychosis because of their rarity and complexity.

“However this study alerts us to be concerned about the risks of homicide or serious violence in the context of early psychosis, especially where certain symptoms and circumstances are present,” says Dr Kalucy.

“Whilst assertive intervention may help to reduce homicide rates, it would require an intensive, multidisciplinary input with an often difficult to access population.”

Dr Kalucy recommends health professionals should develop a management plan in consultation with family members for any patients they consider a risk.

“Perceived risk by family members, who are most at risk of homicide, must be taken very seriously and be embedded in the ensuing management plan, which should include direct advice as to how they should respond to actual threat,” says Dr Kalucy.

Source-AA
SRM
'"/>




Related medicine news :

1. Early detection of prostate cancer
2. Early detection of heart attack
3. Early puberty linked to nutrition
4. Early Clue to Down Syndrome
5. Early delivery can prevent cancer
6. Early puberty more resistance
7. Early menopause- The cause
8. Early menopause- The cause
9. Early Warning System For Breast Cancer
10. Early therapy aids eyesight
11. Early detection of colorectal cancer may be hindered by coloured toilet disinfectants
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:6/25/2016)... ... 2016 , ... Conventional wisdom preaches the benefits of moderation, whether it’s a ... the bar too high can result in disappointment, perhaps even self-loathing. However, those who ... , Research from PsychTests.com reveals that behind the tendency to set ...
(Date:6/24/2016)... ... June 24, 2016 , ... Those who have experienced traumatic events ... turn to unhealthy avenues, such as drug or alcohol abuse, as a coping mechanism. ... tools for healthy coping following a traumatic event. , Trauma sufferers tend to feel ...
(Date:6/24/2016)... ... ... in a crisis. Her son James, eight, was out of control. Prone to extreme mood ... something upset him, he couldn’t control his emotions,” remembers Marcy. “If there was a ... children and say he was going to kill them. If we were driving on ...
(Date:6/24/2016)... ... , ... Global law firm Greenberg Traurig, P.A. announced that 20 Florida attorneys ... peers for this recognition are considered among the top 2 percent of lawyers practicing ... members of this year’s Legal Elite Hall of Fame: Miami Shareholders Mark D. ...
(Date:6/24/2016)... ... June 24, 2016 , ... Comfort Keepers® of San Diego, CA is ... Road To Recovery® program to drive cancer patients to and from their cancer treatments. ... the highest quality of life and ongoing independence. Getting to and from medical ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... HILL, N.C. , June 24, 2016 /PRNewswire/ ... healthcare decisions and regulators/payers have placed more emphasis ... new environment, patient support programs in the pharmaceutical ... for patients, medications. Consequently, pharmaceutical companies are focusing ... ensure they are providing products and services that ...
(Date:6/24/2016)... FRANCISCO, Calif. , June 24, 2016 /PRNewswire/ ... ), a biopharmaceutical company developing novel therapeutics for ... unmet needs, today announced the closing of its ... of common stock, at the public offering price ... in the offering were offered by GBT. GBT ...
(Date:6/24/2016)... , June 24, 2016 ... Markets has announced the addition of the " ... offering. This ... and provides an updated review, including its applications in ... the total market, which includes three main industries: pharmaceutical ...
Breaking Medicine Technology: